DVBCWMW1.m

DVBCWMW1 ;ALB/CMM MUSCLES WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  If there are periods of flare-up of residuals of muscle injury:

 ;;        a.  State their severity, frequency, and duration.

 ;;

 ;;

 ;;        b.  Name the precipitating and alleviating factors.

 ;;

 ;;

 ;;        c.  Estimate to what extent, if any, they result in additional

 ;;            limitation of motion or functional impairment during the 

 ;;            flare-up.

 ;;

 ;;

 ;;    2.  If injury is due to a missile:  initial treatment in the field,

 ;;        length of initial hospitalization and any surgeries or other 

 ;;        repairs undertaken, time until return to duty or limited duty

 ;;        or determination that duty could not be resumed.

 ;;

 ;;

 ;;    3.  Record exact muscles injured or destroyed and describe.

 ;;

 ;;

 ;;    4.  Record any associated injuries, particularly those affecting 

 ;;        bony structures, nerves or vascular structures and specify the

 ;;        nature of treatment required.

 ;;

 ;;

 ;;    5.  Describe present symptoms of muscle pain, activity limited by

 ;;        fatigue or inability to move joint through a portion of its 

 ;;        range; and the degree to which this interferes with activities

 ;;        of daily living.

 ;;

 ;;

 ;;    6.  For tumors of muscle, describe onset of symptoms, date(s) of 

 ;;        biopsy and/or surgical excision and residual defects.  If 

 ;;        malignant neoplasm, need dates of diagnosis, dates and type of

 ;;        treatment, and date of late treatment.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;     Address each of the following and fully describe current findings:

 ;;     1.  Entry and exit wound scars as well as dimensions.

 ;;

 ;;

 ;;     2.  Tissue loss comparison,  and specify muscle group(s) penetrated.

 ;;

 ;;

 ;;     3.  Scar formation measurement (sensitivity, tenderness, etc.)

 ;;

 ;;

 ;;     4.  Adhesions.

 ;;

 ;;

 ;;     5.  Tendon damage.

 ;;

 ;;

 ;;     6.  Bone, joint or nerve damage.

 ;;

 ;;

 ;;     7.  Muscle strength.

 ;;

 ;;

 ;;     8.  Muscle herniation and, if any, whether supported by truss or

 ;;         belt.

 ;;

 ;;

 ;;     9.  Loss of muscle function.  Can muscle group move joint through

 ;;         normal range with sufficient comfort, endurance and strength

 ;;         to accomplish activities of daily living?  Can muscle group 

 ;;         move joint independently through useful ranges of motion but

 ;;         with limitation by pain or easy fatigability or weakness?  

 ;;         Can muscle group move joint only with assistance or with 

 ;;         gravity eliminated?  Is there no ability of muscle group to 

 ;;         move joint even with gravity eliminated and joint passively 

 ;;         moveable?  Is any muscle contraction felt?

 ;;

 ;;

 ;;    10.  If joint function is affected:

 ;;         a.  Using a goniometer, measure the PASSIVE and ACTIVE range

 ;;             of motion, including movement against gravity and against

 ;;             strong resistance.

 ;;

 ;;TOF

 ;;         b.  State to what extent (if any) and in which degrees (if 

 ;;             possible) the range of motion or function is ADDITIONALLY

 ;;             LIMITED by pain, fatigue, weakness, or lack of endurance 

 ;;             following repetitive use or during flare-ups.  If more 

 ;;             than one of these is present, state, if possible, which 

 ;;             has the major functional impact.

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  If applicable, x-rays of joint(s) involved in two planes or 

 ;;        anatomic area involved if not recorded in past (once taken, 

 ;;        the x-rays do  not need to be repeated).

 ;;    2.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWMW1   4173     printed  Mar 13, 2025@20:57:27                                                                                                                                                                                                    Page 2

DVBCWMW1  ;ALB/CMM MUSCLES WKS TEXT - 1 ; 6 MARCH 1997

 +1       ;;2.7;AMIE;**12**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records:

 +2       ;;

 +3       ;;

 +4       ;;

 +5       ;;B.  Medical History (Subjective Complaints):

 +6       ;;

 +7       ;;    Comment on:

 +8       ;;    1.  If there are periods of flare-up of residuals of muscle injury:

 +9       ;;        a.  State their severity, frequency, and duration.

 +10      ;;

 +11      ;;

 +12      ;;        b.  Name the precipitating and alleviating factors.

 +13      ;;

 +14      ;;

 +15      ;;        c.  Estimate to what extent, if any, they result in additional

 +16      ;;            limitation of motion or functional impairment during the 

 +17      ;;            flare-up.

 +18      ;;

 +19      ;;

 +20      ;;    2.  If injury is due to a missile:  initial treatment in the field,

 +21      ;;        length of initial hospitalization and any surgeries or other 

 +22      ;;        repairs undertaken, time until return to duty or limited duty

 +23      ;;        or determination that duty could not be resumed.

 +24      ;;

 +25      ;;

 +26      ;;    3.  Record exact muscles injured or destroyed and describe.

 +27      ;;

 +28      ;;

 +29      ;;    4.  Record any associated injuries, particularly those affecting 

 +30      ;;        bony structures, nerves or vascular structures and specify the

 +31      ;;        nature of treatment required.

 +32      ;;

 +33      ;;

 +34      ;;    5.  Describe present symptoms of muscle pain, activity limited by

 +35      ;;        fatigue or inability to move joint through a portion of its 

 +36      ;;        range; and the degree to which this interferes with activities

 +37      ;;        of daily living.

 +38      ;;

 +39      ;;

 +40      ;;    6.  For tumors of muscle, describe onset of symptoms, date(s) of 

 +41      ;;        biopsy and/or surgical excision and residual defects.  If 

 +42      ;;        malignant neoplasm, need dates of diagnosis, dates and type of

 +43      ;;        treatment, and date of late treatment.

 +44      ;;

 +45      ;;

 +46      ;;C.  Physical Examination (Objective Findings):

 +47      ;;

 +48      ;;     Address each of the following and fully describe current findings:

 +49      ;;     1.  Entry and exit wound scars as well as dimensions.

 +50      ;;

 +51      ;;

 +52      ;;     2.  Tissue loss comparison,  and specify muscle group(s) penetrated.

 +53      ;;

 +54      ;;

 +55      ;;     3.  Scar formation measurement (sensitivity, tenderness, etc.)

 +56      ;;

 +57      ;;

 +58      ;;     4.  Adhesions.

 +59      ;;

 +60      ;;

 +61      ;;     5.  Tendon damage.

 +62      ;;

 +63      ;;

 +64      ;;     6.  Bone, joint or nerve damage.

 +65      ;;

 +66      ;;

 +67      ;;     7.  Muscle strength.

 +68      ;;

 +69      ;;

 +70      ;;     8.  Muscle herniation and, if any, whether supported by truss or

 +71      ;;         belt.

 +72      ;;

 +73      ;;

 +74      ;;     9.  Loss of muscle function.  Can muscle group move joint through

 +75      ;;         normal range with sufficient comfort, endurance and strength

 +76      ;;         to accomplish activities of daily living?  Can muscle group 

 +77      ;;         move joint independently through useful ranges of motion but

 +78      ;;         with limitation by pain or easy fatigability or weakness?  

 +79      ;;         Can muscle group move joint only with assistance or with 

 +80      ;;         gravity eliminated?  Is there no ability of muscle group to 

 +81      ;;         move joint even with gravity eliminated and joint passively 

 +82      ;;         moveable?  Is any muscle contraction felt?

 +83      ;;

 +84      ;;

 +85      ;;    10.  If joint function is affected:

 +86      ;;         a.  Using a goniometer, measure the PASSIVE and ACTIVE range

 +87      ;;             of motion, including movement against gravity and against

 +88      ;;             strong resistance.

 +89      ;;

 +90      ;;TOF

 +91      ;;         b.  State to what extent (if any) and in which degrees (if 

 +92      ;;             possible) the range of motion or function is ADDITIONALLY

 +93      ;;             LIMITED by pain, fatigue, weakness, or lack of endurance 

 +94      ;;             following repetitive use or during flare-ups.  If more 

 +95      ;;             than one of these is present, state, if possible, which 

 +96      ;;             has the major functional impact.

 +97      ;;

 +98      ;;

 +99      ;;D.  Diagnostic and Clinical Tests:

 +100     ;;

 +101     ;;    1.  If applicable, x-rays of joint(s) involved in two planes or 

 +102     ;;        anatomic area involved if not recorded in past (once taken, 

 +103     ;;        the x-rays do  not need to be repeated).

 +104     ;;    2.  Include results of all diagnostic and clinical tests conducted

 +105     ;;        in the examination report.

 +106     ;;

 +107     ;;

 +108     ;;E.  Diagnosis:

 +109     ;;

 +110     ;;

 +111     ;;Signature:                             Date:

 +112     ;;END